Journal of AdvancedMedical and Dental Sciences Research

Aim of the study: To compare ketorolac and Tramadol for pain management after surgical removal of third molar. Materials and methods: This study was conducted in the Department of Oral Maxillofacial and surgery of Govt Dental college and Hospital, Srinagar in 2019. The ethical clearance for the study was approved from the ethical committee of the hospital. For this study, a total of 50 patients were selected within the age range of 20 to 30 years who were scheduled for 3rd molar extraction surgery. Patients were subjected to clinical examination, intraoral periapical radiographs, and orthopantomograms. Patients were randomly grouped into two groups, Group A received (Ketorolac 30 mg IV) preoperatively and Group B received (Tramadol 50 mg IV) preoperatively. All the patients underwent extraction of third molars by the same surgeon and an assistant, under local anesthesia. Postoperative pain assessment was done by measuring pain intensity by Wong-Baker Faces pain rating scale for six hour, analgesia onset, duration of action and total number of analgesics consumed. Results: In the present study, a total of 50 patients were included. The patients were randomly grouped into two groups, Group A (Ketorolac 30 mg IV) and Group B(Tramadol 50 mg IV), with 25 patients in each group.The mean age of Group A patients was 26.35 years and of Group B was 25.28 years. It was observed that duration action of Group A(Ketorolac 30 mg IV) was significantly higher as compared to Group B (Tramadol 50 mg IV). We observed that the onset of analgesia was significantly lower in Group B (Tramadol 50 mg IV) as compared to Group A patients. The sum of hourly pain intensity scores showed better results with Group A(Ketorolac 30 mg IV) than Group B(Tramadol 50 mg IV). Patients with Group A (Ketorolac 30 mg IV) consumed less analgesics as compared to Group B(Tramadol 50 mg IV). Conclusion: Within the limitations of the present study, it can be concluded that Ketorolac provides longer analgesia for postoperative pain from third molar extraction. However, the onset of analgesia of Tramadol is much lower than Ketorolac. Keywords: Ketorolac, Tramadol, Postoperative pain, third molar.